Provider Demographics
NPI:1942474622
Name:SCHLETTER, GREGORY M (DMD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:M
Last Name:SCHLETTER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CATTANO AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6860
Mailing Address - Country:US
Mailing Address - Phone:973-984-6100
Mailing Address - Fax:
Practice Address - Street 1:1 CATTANO AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6860
Practice Address - Country:US
Practice Address - Phone:973-984-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ173101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice